Eggerthella lenta Bacteremia in a Patient With Adenocarcinoma of the Rectosigmoid Colon: A Case Report and Review of Management Challenges

We present a case of sepsis secondary to Eggerthella lenta bacteremia in a patient with newly diagnosed adenocarcinoma of the rectosigmoid colon. Management involved antibiotic escalation from piperacillin-tazobactam to meropenem, resulting in resolution of sepsis and clearance of the bacteremia. Th...

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Main Authors: Mahnoor Arshad, Shitij Shrivastava, Zoraize M. Athar, Sabirah N. Kasule, Sridhar S. Chilimuri, Cosmina B. Zeana
Format: Article
Language:English
Published: American College of Physicians 2025-03-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.0363
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author Mahnoor Arshad
Shitij Shrivastava
Zoraize M. Athar
Sabirah N. Kasule
Sridhar S. Chilimuri
Cosmina B. Zeana
author_facet Mahnoor Arshad
Shitij Shrivastava
Zoraize M. Athar
Sabirah N. Kasule
Sridhar S. Chilimuri
Cosmina B. Zeana
author_sort Mahnoor Arshad
collection DOAJ
description We present a case of sepsis secondary to Eggerthella lenta bacteremia in a patient with newly diagnosed adenocarcinoma of the rectosigmoid colon. Management involved antibiotic escalation from piperacillin-tazobactam to meropenem, resulting in resolution of sepsis and clearance of the bacteremia. This case highlights the association between E lenta bacteremia and gastrointestinal malignancies. It also emphasizes the importance of timely diagnosis and appropriate antibiotic therapy.
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institution OA Journals
issn 2767-7664
language English
publishDate 2025-03-01
publisher American College of Physicians
record_format Article
series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-1e143ea0b5f44ba89db10d0aa0b244b52025-08-20T02:17:33ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-03-014310.7326/aimcc.2024.0363Eggerthella lenta Bacteremia in a Patient With Adenocarcinoma of the Rectosigmoid Colon: A Case Report and Review of Management ChallengesMahnoor Arshad0Shitij Shrivastava1Zoraize M. Athar2Sabirah N. Kasule3Sridhar S. Chilimuri4Cosmina B. Zeana51Internal Medicine Residency, Department of Internal Medicine, BronxCare Health System affiliated with Icahn School of Medicine at Mt Sinai, Bronx, New York1Internal Medicine Residency, Department of Internal Medicine, BronxCare Health System affiliated with Icahn School of Medicine at Mt Sinai, Bronx, New York1Internal Medicine Residency, Department of Internal Medicine, BronxCare Health System affiliated with Icahn School of Medicine at Mt Sinai, Bronx, New York2Division of Infectious Diseases, Department of Internal Medicine, BronxCare Health System, Bronx, New York3Department of Internal Medicine, BronxCare Health System, Bronx, New York2Division of Infectious Diseases, Department of Internal Medicine, BronxCare Health System, Bronx, New YorkWe present a case of sepsis secondary to Eggerthella lenta bacteremia in a patient with newly diagnosed adenocarcinoma of the rectosigmoid colon. Management involved antibiotic escalation from piperacillin-tazobactam to meropenem, resulting in resolution of sepsis and clearance of the bacteremia. This case highlights the association between E lenta bacteremia and gastrointestinal malignancies. It also emphasizes the importance of timely diagnosis and appropriate antibiotic therapy.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0363
spellingShingle Mahnoor Arshad
Shitij Shrivastava
Zoraize M. Athar
Sabirah N. Kasule
Sridhar S. Chilimuri
Cosmina B. Zeana
Eggerthella lenta Bacteremia in a Patient With Adenocarcinoma of the Rectosigmoid Colon: A Case Report and Review of Management Challenges
Annals of Internal Medicine: Clinical Cases
title Eggerthella lenta Bacteremia in a Patient With Adenocarcinoma of the Rectosigmoid Colon: A Case Report and Review of Management Challenges
title_full Eggerthella lenta Bacteremia in a Patient With Adenocarcinoma of the Rectosigmoid Colon: A Case Report and Review of Management Challenges
title_fullStr Eggerthella lenta Bacteremia in a Patient With Adenocarcinoma of the Rectosigmoid Colon: A Case Report and Review of Management Challenges
title_full_unstemmed Eggerthella lenta Bacteremia in a Patient With Adenocarcinoma of the Rectosigmoid Colon: A Case Report and Review of Management Challenges
title_short Eggerthella lenta Bacteremia in a Patient With Adenocarcinoma of the Rectosigmoid Colon: A Case Report and Review of Management Challenges
title_sort eggerthella lenta bacteremia in a patient with adenocarcinoma of the rectosigmoid colon a case report and review of management challenges
url https://www.acpjournals.org/doi/10.7326/aimcc.2024.0363
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